Salky B A, Bauer J J, Gelernt I M, Kreel I
Department of Surgery, Mt. Sinai Hospital, New York, New York.
Gastrointest Endosc. 1988 May-Jun;34(3):227-30. doi: 10.1016/s0016-5107(88)71317-6.
Laparoscopy is usually not performed for retroperitoneal disease. However, if the retroperitoneal process is palpable or displaces viscera, laparoscopy may allow visualization and directed biopsy. In a personal series of 316 laparoscopies reviewed retrospectively, 19 (6%) were performed primarily for retroperitoneal pathology. All patients had CT scans documenting a retroperitoneal process. A confirmed histologic diagnosis was obtained on directed laparoscopic biopsy in 16 patients, including 9 non-Hodgkin's lymphomas. There was no mortality or morbidity in this series. Laparoscopy is a useful modality in selected patients with retroperitoneal diseases, and its use should be considered when a histologic diagnosis is necessary.
腹腔镜检查通常不适用于腹膜后疾病。然而，如果腹膜后病变可触及或推移内脏，腹腔镜检查可能有助于观察并进行定向活检。回顾性分析本人一组316例腹腔镜检查病例，其中19例（6%）主要是针对腹膜后病变进行的。所有患者均行CT扫描以记录腹膜后病变情况。16例患者经腹腔镜定向活检获得了确诊的组织学诊断，其中包括9例非霍奇金淋巴瘤。该组病例无死亡或并发症发生。对于某些患有腹膜后疾病的患者，腹腔镜检查是一种有用的方法，当需要组织学诊断时应考虑使用。
